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Individual

MS. CATHERINE COCKING STOBAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED MTS LCDC CSAT

Contact information

Practice address
10632 NORTHBORO ST, DALLAS, TX 75230-4453
(214) 692-0103
Mailing address
10632 NORTHBORO ST, DALLAS, TX 75230-4453
(214) 692-0103

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2868
TX
101YM0800X
Mental Health Counselor
TDSHS2686
TX
101YM0800X
Mental Health Counselor
Primary
TDSHS2868
TX

Other

Enumeration date
08/04/2011
Last updated
08/04/2011
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